Skilled nursing facility · CMS certification number 375567
MEMORIAL NURSING CENTER
FREDERICK, Oklahoma
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026. Its Medicare enrollment, CITY OF FREDERICK (enrollment ID O20180905002656), is not listed in the CMS enrollment file dated August 1, 2026.
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for July 1, 2022 to March 13, 2023 — a reporting period of 255 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 29, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $800,745 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $800,745 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,183,644 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$382,899 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$382,899 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$382,899 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Medicare (Title XVIII) patient days | 113 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 2,423 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 719 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 3,255 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 19 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 8 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 31 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 127.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365850, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 20, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,559,109 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $1,559,109 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,938,031 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$378,922 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$378,922 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$378,922 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient days, all components | 7,777 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 41 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 317.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 189.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1368253, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,640,531 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $1,640,531 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,152,408 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$511,877 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$511,877 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$511,877 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient days, all components | 6,103 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 39 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 329.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364413, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,292,463 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $1,292,463 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,157,079 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$864,616 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$864,616 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$864,616 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient days, all components | 9,075 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 168.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364900, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,004,866 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,004,866 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,065,618 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$60,752 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$60,752 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$60,752 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient days, all components | 9,204 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 14 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,721.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 657.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364748, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for December 11, 2017 to June 30, 2018 — a reporting period of 201 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $872,070 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $872,070 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $974,418 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$102,348 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $294,271 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $191,923 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $191,923 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,965 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 21 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 475 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 236.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217848, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 10, 2017
Cost report for October 1, 2017 to December 10, 2017 — a reporting period of 70 days, not a full year, on form CMS-2540-10, settled, processed by CMS on November 14, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $319,222 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $319,222 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $393,414 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$74,192 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,032 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$33,160 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$33,160 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 1,537 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 6 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,063 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 256.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1213912, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for April 11, 2016 to September 30, 2016 — a reporting period of 172 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 17, 2017.
None of these figures is carried on this report.
CMS report record 1151019, read from the public cost report file SNF10FY2016.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
- April 14, 2023: CITY OF FREDERICK no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: ROBERT B JOHNSTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACK STAPLES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Recent changes on this record
- November 20, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- September 29, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- September 18, 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- September 14, 2023: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- September 11, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- April 14, 2023: CITY OF FREDERICK no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: ROBERT B JOHNSTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACK STAPLES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- January 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- November 14, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2018.zip
- May 16, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- January 17, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
Get an email when this record changes
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On November 20, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. That is one line of the alert.
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The citable document for MEMORIAL NURSING CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Oklahoma at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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- YOUNGMAN ROCK INC / MUSKOGEE FACILITY, PORTER Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 375567.